Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Practice Guideline
Guidelines to the Practice of Anesthesia - Revised Edition 2018.
The Guidelines to the Practice of Anesthesia Revised Edition 2018 (the Guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. The Guidelines are subject to revision and updated versions are published annually. ⋯ Anesthesiologists should exercise their own professional judgement in determining the proper course of action for any patient's circumstances. The CAS assumes no responsibility or liability for any error or omission arising from the use of any information contained in its Guidelines to the Practice of Anesthesia.
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In the article entitled: "A primer on nerve agents: what the emergency responder, anesthesiologist, and intensivist needs to know" published in the October 2017 issue of the Journal, Can J Anesth 2017; 64: 1059-1070, two doses in Table 3 contained errors and have now been corrected (and highlighted in bold) in the revised table herein. In the table on page 1064, next to "Pralidoxime/Obidoxime/HI-6", the second column should read: "Pralidoxime- Mild cases: 1-2 g iv over 5-10 min or im". Also in the same row, the third column should read: "Individual doses should not exceed 2 g". The publisher apologizes most sincerely for this error.
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Comparative Study
Limitations of pediatric supraglottic airway devices as conduits for intubation - an in vitro study.
Supraglottic airway devices (SGAs) can be used as conduits for intubation, but data and manufacturers' recommendations for pediatric SGA are incomplete and sometimes misleading. This situation can result in the use of incompatible combinations of SGAs and endotracheal tubes (ETTs). To address this mismatch possibility, we performed an in vitro study to establish an overview of possible combinations of SGAs and ETTs. ⋯ The use of combinations of SGA and ETTs with a size mismatch can lead to airway complications during intubation or to accidental extubation and tearing of the cuff pilot balloon line when removing the SGA. To avoid these problems, we devised a table that simplifies the choice of an appropriate SGA and ETT combination.